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胡青,张杰,冯燕飞,李锋之.神经电生理监控下经皮穿刺电刺激阴部神经治疗前列腺癌根治术后顽固性压力性尿失禁的疗效观察[J].浙江中西医结合杂志,2021,31(6):
神经电生理监控下经皮穿刺电刺激阴部神经治疗前列腺癌根治术后顽固性压力性尿失禁的疗效观察
The Effect of the Treatment of Refractory Stress Urinary Incontinence after Radical Prostatectomy with Percutaneous Electrical Stimulation of Pudendal Nerve under Neuroelectrophysiological Monitoring
投稿时间:2021-01-07  修订日期:2021-04-06
DOI:
中文关键词:  神经电生理  电针  电刺激  阴部神经  前列腺癌根治术  压力性尿失禁
英文关键词:Neuroelectrophysiology  Acupuncture with electrical stimulation  Electrical stimulation  Pudendal nerve  Radical prostatectomy  Stress urinary incontinence
基金项目:浙江省中医药管理局项目(2016ZA099)
作者单位E-mail
胡青 浙江中医药大学附属第二医院 1009841560@qq.com 
张杰   
冯燕飞   
李锋之 浙江中医药大学附属二院  
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中文摘要:
      目的 探讨神经电生理监控下经皮穿刺电刺激阴部神经治疗前列腺癌根治术后顽固性压力性尿失禁的疗效。方法 选取我院2016年4月至2019年4月收住的前列腺癌根治术后顽固性压力性尿失禁患者20例,平均年龄64.5±4.5岁,随机分研究组和对照组各10例。研究组神经电生理监控下经皮穿刺电刺激阴部神经,对照组无神经电生理监控下盲刺。一月后比较两组尿垫试验漏尿量以及尿失禁症状评分。结果 治疗后两组尿垫试验漏尿量以及尿失禁症状评分均明显低于治疗前(P<0.05,P<0.01),治疗后研究组尿垫试验漏尿量以及尿失禁症状评分均明显低于对照组(P<0.05)。结论 神经电生理监控下更精准经皮穿刺阴部神经,结合电刺激明显降低前列腺癌根治术后顽固性压力性尿失禁患者漏尿量以及尿失禁症状评分,长期效果有待进一步观察。
英文摘要:
      Objective To observe the effect of the treatment of refractory stress urinary incontinence after radical prostatectomy with percutaneous electrical stimulation of pudendal nerve under neuroelectrophysiological monitoring. Methods We randomly assigned 20 patients with refractory stress urinary incontinence after radical prostatectomy admitted to our hospital from April 2016 through April 2019 to experimental group and control group equally. The mean age of the participants was 64.5±4.5 years old. In the experimental group, the vaginal nerve was stimulated by percutaneous puncture under neuroelectrophysiological monitoring, while the control group was not monitored by neurophysiological monitoring. The urine pad test leakage and urinary incontinence symptom score of the two groups were compared after one month. Results After treatment, the urine pad test leakage and urinary incontinence symptom scores of the two groups were significantly lower than those before treatment (P<0.05, P<0.01). After treatment, the urine pad test leakage and urinary incontinence symptom scores of the experimental group were significantly lower than that of the control group (P<0.05). Conclusion Percutaneous puncture of the pudendal nerve under neuroelectrophysiological monitoring is more accurate, and combining with electrical stimulation can significantly reduce the volume of urine leakage and urinary incontinence symptoms scores in patients with refractory stress urinary incontinence after radical prostatectomy. The long-term effect needs further observation.
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